International Journal of STD & AIDS > Volume 19, Number 2 > Pp. 123-124

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Evans, D. T P Articles by Aggarwal, V. Search for Related Content PubMed PubMed Citation Social Bookmarking                      What's this?

AUDIT REPORTS

A retrospective audit of the management and complications of pelvic inflammatory disease

Derek T P Evans FRCP FRACP ^* , Henna Jaleel MRCOG MSC ^*, Matthew T Kinsella MBBS BSc ^* and Ved Aggarwal FRCOG 

^* Department of Genito-Urinary Medicine; Department of Obstetrics and Gynaecology, Southend University Hospital NHS Foundation Trust, UK

Correspondence to: Dr Derek T P Evans Email: Derek.Evans{at}southend.nhs.uk

Our objective was to examine the management of pelvic inflammatory disease (PID) in Southend Hospital against the British Association for Sexual Health and HIV guidelines. In addition, we reviewed the Genito-Urinary (GU) Medicine and Gynaecology notes for patients who failed treatment for PID in GU medicine. This was to reveal their complications and subsequent management. Thirty of 249 patients diagnosed with PID failed treatment. Chlamydia was found in 30% of these patients, gonorrhoea in 10%, with the rest being categorized into presumed anaerobic/other aetiology. Appropriate antibiotic regimens were used in 96.6% of patients and the 66.7% of contacts who were traced and treated. Eighteen of the 30 patients had a laparoscopy. Findings were: confirmed PID in 5.6%; endometriosis in 27.8%, adhesions with no evidence of PID in 27.8%; and 38% had no abnormalities found. Laparoscopy has an important role in excluding other pathology in patients who have failed to respond to appropriate conservative management.

Key Words: pelvic inflammatory disease • endometriosis • adhesions • chlamydia • anaerobes • ovarian cyst

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?